Asthma prevalence, but not allergic rhinitis nor atopic dermatitis, is associated to exposure to dogs in adolescents
Main Article Content
Keywords
Asthma, Allergic rhinitis, Atopic dermatitis, Pets, Dogs, Cats
Abstract
Background: Exposure to pets can be a predisposing factor in the development of certain diseases, including allergic diseases.
Objective: We analyzed the role that exposure to indoor dogs and cats plays in the prevalence of allergic diseases.
Methods: We examined the cross-sectional data of 1056 women and 936 men aged 15 to 18 years; these individuals were selected through stratified and cluster random sampling. We asked all participants about their exposure to indoor dogs and cats during the year that preceded our study. The prevalence of allergic diseases was determined through core questions taken from
The International Study of Asthma and Allergies in Childhood questionnaire.
Results: The prevalence was 12.7% (95% CI: 11.3%-14.2%) for asthma, 9.0% (95% CI: 7.8%-10.4%) for allergic rhinitis, and 5.2% (95% CI: 4.3%-6.2%) for atopic dermatitis. The multivariate analyses showed that exposure to indoor dogs, but not indoor cats, was associated with asthma prevalence (aOR 1.37; 95% CI: 1.03-1.83), as was male sex (aOR = 1.42; 95% CI: 1.08-1.86), a personal history of allergic rhinitis (aOR = 3.24; 95% CI: 2.25-4.66), and a maternal history of asthma (aOR = 3.06; 95% CI: 1.89-4.98). The population attributable risk for exposure to indoor dogs was 18%. Notably, neither allergic rhinitis nor atopic dermatitis was found to be associated with dog or cat exposure (p > 0.05).
Conclusion: Exposure to dogs in late adolescence is a factor associated with asthma, although its contribution to the development of asthma should be investigated in new studies.
References
2. McConnell AR, Brown CM, Shoda TM, Stayton LE, Martin CE. Friends with benefits: on the positive consequences of pet ownership. J Pers Soc Psychol. 2011;101:1239-52.
3. Brunekreef B, Von Mutius E, Wong G, Odhiambo J, García-Marcos L, Foliaki S, ISAAC Phase Three Study Group. Exposure to cats and dogs, and symptoms of asthma, rhinoconjunctivitis, and eczema. Epidemiology. 2012;23:742-50.
4. Lødrup Carlsen KC, Roll S, Carlsen KH, Mowinckel P, Wijga AH, Brunekreef B, et al. GALEN WP 1.5 ‘Birth Cohorts’ working group. Does pet ownership in infancy lead to asthma or allergy at school age? Pooled analysis of individual participant data from 11 European birth cohorts. PLoS One. 2012;7:e43214.
5. Huang C, Hu Y, Liu W, Sundell JE. Pet-keeping and its impact on asthma and allergies among preschool children in Shanghai, China. Chin Sci Bull. 2013;58:4203-10, http://dx.doi.org/10.1007/s11434-013-5679-4.
6. Bedolla-Barajas M, Morales-Romero J, Robles-Figueroa M, Fregoso-Fregoso M. Asthma in late adolescents of Western Mexico: prevalence and associated factors. Arch Bronconeumol. 2013;49:47-53.
7. Bedolla-Barajas M, Morales-Romero J, Bedolla-Pulido TI, Bedolla-Pulido TR, Meza-López C, Pulido-Guillén NA. Exposure to dogs but not cats is associated to a decrease in the prevalence in atopic dermatitis amongst school-children. Allergol Immunopathol (Madr). 2018;46:431-7.
8. Bedolla-Pulido TR, Bedolla-Barajas M, Morales-Romero J, Bedolla-Pulido TI, Domínguez-García MV, Hernández-Colín DD, Flores-Merino MV. Self-reported hypersensitivity and allergy to foods amongst Mexican adolescents: prevalence and associated factors. Allergol Immunopathol (Madr). 2019;47:246-53, http://dx.doi.org/10.1016/j.aller.2018.09.004.
9. The International Study of Asthma and Allergies in Childhood. ISAAC Tools http://isaac.auckland.ac.nz/resources/tools.php?menu=tools1 [accessed 4 December 2018].
10. Lodge CJ, Lowe AJ, Gurrin LC, Matheson MC, Balloch A, et al. Pets at birth do not increase allergic disease in at-risk children. Clin Exp Allergy. 2012;42:1377-85.
11. Medjo B, Atanaskovic-Markovic M, Nikolic D, Spasojevic Dimitrijeva B, Ivanovski P, Djukic S. Association between pet-keeping and asthma in schoolchildren. Pediatr Int. 2013;55:133-7.
12. Fall T, Lundholm C, Örtqvist AK, Fall K, Fang F, Hedhammar Å, et al. Early exposure to dogs and farm animals and the risk of childhood asthma. JAMA Pediatr. 2015;169:e153219.
13. Bedolla-Barajas M, Javier Ramírez-Cervantes F, Morales-Romero J, Jesús Pérez-Molina J, Meza-López C, Delgado-Figueroa N. A rural environment does not protect against asthma or other allergic diseases amongst Mexican children. Allergol Immunopathol (Madr). 2018;46:31-8.
14. Thorsteinsdottir S, Thyssen JP, Stokholm J, Vissing NH, Waage J, Bisgaard H. Domestic dog exposure at birth reduces the incidence of atopic dermatitis. Allergy. 2016;71:1736-44.
15. Pearce N, Pekkanen J, Beasley R. How much asthma is really attributable to atopy? Thorax. 1999;54:268-72.
16. Aggarwal AN, Chaudhry K, Chhabra SK, D’Souza GA, Gupta D, Jindal SK, et al. Prevalence and risk factors for bronchial asthma in Indian adults: a multicentre study. Indian J Chest Dis Allied Sci. 2006;48:13-22.
17. Carnes MU, Hoppin JA, Metwali N, Wyss AB, Hankinson JL, O’Connell EL, et al. House dust endotoxin levels are associated with adult asthma in a U.S. farming population. Ann Am Thorac Soc. 2017;14:324-31.
18. Oluwole O, Rennie DC, Senthilselvan A, Dyck R, Afanasieva A, Kirychuk S, et al. The association between endotoxin and beta- (1 → 3)-D-glucan in house dust with asthma severity among schoolchildren. Respir Med. 2018;138:38-46.
19. Oluwole O, Rennie DC, Senthilselvan A, Dyck R, Afanasieva A, Kirychuk S, et al. The association between endotoxin in house dust with atopy and exercise-induced bronchospasm in children with asthma. Environ Res. 2018;164:302-9.
20. Bedolla-Barajas M, Barrera-Zepeda AT, López-Zaldo JB, MoralesRomero J. Asthma in Mexican school-age children is not associated with passive smoking or obesity. Asia Pac Allergy. 2013;3:42-9.
21. Bjerg A, Hedman L, Perzanowski MS, Platts-Mills T, Lundbäck B, Rönmark E. Family history of asthma and atopy: in-depth analyses of the impact on asthma and wheeze in 7- to 8-year-old children. Pediatrics. 2007;120:741-8.
